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Public Accounts Committee: Children’s Health Ireland and National Paediatric Hospital Development Board: Discussion (19 Oct 2023)

Brian Stanley: Will that gas be supplied by Bord Gáis Éireann?

Public Accounts Committee: Children’s Health Ireland and National Paediatric Hospital Development Board: Discussion (19 Oct 2023)

Brian Stanley: Has there been any estimation of gas usage, energy usage?

Public Accounts Committee: Children’s Health Ireland and National Paediatric Hospital Development Board: Discussion (19 Oct 2023)

Brian Stanley: As the project has evolved, a lot of things have changed - even politically - in the last seven or eight years. Have modifications been made to it in terms of further upgrading? I am wondering whether we will be going back in a few years' time talking to SEAI about retrofitting part of the building or anything like that. In other words, as the project evolved, were changes made to upgrade...

Public Accounts Committee: Children’s Health Ireland and National Paediatric Hospital Development Board: Discussion (19 Oct 2023)

Brian Stanley: In terms of the national maternity hospital, while I know it is not possible to put solar panels on certain buildings and in certain places, I advise Mr. Tierney to note the issue of renewable energy. Issues around energy availability, energy usage and energy costs are going to ramp up over the next 20 years and we will have to deal with those. I suggest that be taken on board in respect of...

Public Accounts Committee: Children’s Health Ireland and National Paediatric Hospital Development Board: Discussion (19 Oct 2023)

Brian Stanley: That more or less completes the questioning. I thank the witnesses from Children's Health Ireland, Ms Hardiman and her team, Mr. David Gunning of the National Paediatric Hospital Development Board and Mr. Tierney from the Department of Health for the work involved in preparing for today's meeting. We have covered a lot of ground. I thank the witnesses for the information and the replies....

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: The business before the committee this afternoon is as follows: minutes, accounts and financial statements, correspondence, work programme and any other business. The first item is the minutes of the meetings of 11 and 12 October 2023, which have been circulated to members. Do members wish to raise any matters? No. Are the minutes agreed? Agreed. As usual, they will be published on the...

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: If there are no other comments, is it agreed to note the listing of the accounts and financial statements? Agreed. As usual, the accounts and financial statements will be published as part of the minutes. The third item is correspondence. No items of correspondence were flagged for discussion for this meeting so the correspondence will be dealt with in accordance with the proposed...

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: There is a connection between the two. It is also proposed that we focus on the relevant subhead from the Appropriation Account. Is that agreed?

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: Next, 23 November-----

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: We will include delivery of the national development plan for discussion with the Department of Public Expenditure, National Development Plan Delivery and Reform that day. On 23 November we will have the Department of Housing, Local Government and Heritage before us. There is a proposal that we invite in the Housing Agency as well on that occasion. Moving on, on 30 November we will...

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: Yes. We get lost in it because there is so much there. The Comptroller and Auditor General might want to comment on this. Is there anything we can do about the fact that the Department of Health provides the budget, the HSE comes up with a service plan, and budgets are then put in place for each section, under each heading? Is there any way we can work through that with the Department...

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: I am saying this in the context of the new regional health structures. There is a need to question what is being done and that there should be a governance structure at regional level. Within that governance, accountancy and accountability, service delivery should be clearly linked up to budget and service delivery. Per region.

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: Yes. How is that going to be done, from the point of view of the Committee of Public Accounts? If we do not, what is going to happen is that we are going to have nine regional health areas, or nine smaller versions of what we had. That is where the whole thing gets lost in the middle.

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: Deputy Murphy is correct, and that is one part of it. The part of it I am trying to nail down is from the point of view of the budget being allocated for a particular service within the new health areas, and how we see delivery. The point that has been made before is that in some places one has budgets but little or no outcome. Yet, there is a budget there. What happens to the budget in...

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: The money gets lost along the way. There seems to be the budget outcome but in the middle one has this. It is correct to say that because the areas are not aligned, it allows for a situation where people can say they are not aligned or whatever else. If they are going to be aligned, we need to know the road that money travels between the budget and actual dental services or hip...

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: That is another question.

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: With regard to framing it and bringing in the Department of Health, we can talk about the establishment of the new regional health areas, budget controls, budgets and outcomes-----

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: -----and governance, and the connections between these. Agency costs is one that we could put in again, according to what was said the last day Mr. McCarthy was in. There is also the question of the regional structures trying to move to a public health system in the context of Sláintecare. Are there are any other matters that members want to include on the work programme?

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: We have a response in correspondence. It is there today.

Public Accounts Committee: Business of Committee (19 Oct 2023)

Brian Stanley: It is No. 2171. There is a letter there from Mr. Donal Hamilton of McCann FitzGerald in response to a request for a progress update on the ongoing review of the RTÉ's voluntary exit programmes.

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